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Web list effective july 1, 2023. Web wellcare pa form fillable. Web fill out and submit this form to request prior authorization (pa) for your medicare prescriptions. To ensure our members receive quality care, appropriate claims payment, and notification of servicing providers,. Covermymeds is wellcare prior authorization forms’s preferred method. Prior authorization form for medical procedures, courses of treatment or prescription drug benefits. Web select the appropriate wellcare form to get started. Wellcare requires prior authorization (pa) as a condition of payment for many services. 888.505.1201 (medicare) 888.846.4262 (medicaid) website:. 888.881.8225 phone # for expedited: Providers must obtain prior authorization for certain services and procedures.